Week 1 Post-Op

Progress Check

You've made it through the most challenging initial days. By now, you should start to notice small improvements - perhaps a bit more mobility, slightly less discomfort, or better sleep. These incremental changes are signs that your body is healing.

While you're still significantly limited, the worst is behind you. Continue following your care routine diligently.

What's Normal at Week 1

Physical Changes

• Still walking bent over - you likely cannot stand fully upright yet. This is normal and should not be forced.
• Swelling - your abdomen will still be quite swollen, possibly making you look pregnant. This is expected.
• Bruising improving - bruising may be turning yellow-green as it fades.
• Numbness - decreased sensation across your lower abdomen is normal and may last months.
• Tightness - the sensation of tightness across your abdomen remains, especially when trying to straighten up.
• Fatigue - you'll tire easily. Rest is still crucial.

Drain Status

Your drains are likely still in place (typical removal is 7-14 days post-op):

• Output should be gradually decreasing
• Color may be lighter - pinkish to straw-colored
• Continue recording daily output measurements
• Drains will be removed when output drops below 30ml per day (or as your surgeon specifies)

Daily Activities

Walking

Walking remains your most important activity:

• Walk 3-4 times per day - gradually increase duration
• Still bent forward - don't force upright posture
• Aim for 5-10 minutes at a time by the end of week 1
• Walking aids circulation - prevents blood clots and reduces swelling
• Fresh air is beneficial - short walks outside (weather permitting) can lift your mood

Pain Management

• Pain should be lessening - you may be able to space out medications more
• Don't stop pain medication too abruptly - taper gradually as directed
• You may transition from prescription pain medication to paracetamol/ibuprofen
• Some patients experience more discomfort on days 5-7 as they become more mobile

Sleeping

• Continue sleeping elevated at 45 degrees with knees bent
• Sleep quality should be gradually improving
• You may be able to shift positions slightly more comfortably
• A recliner remains the most comfortable option for most patients

Compression Garment Care

You'll continue wearing your compression garment 24/7:

• Only remove for washing (once cleared by surgeon, usually after drains are out)
• If you have two garments, wash one while wearing the other
• Hand wash in cool water with mild detergent
• Air dry flat - do not tumble dry
• It should feel snug but not painfully tight

Showering

Showering is typically not permitted until drains are removed. Until then:

• Sponge baths only
• Keep incision sites dry
• Use dry shampoo for hair
• Face wipes for freshening up

Eating and Bowel Function

• Continue high-protein, high-fiber diet
• Constipation is common - pain medications slow bowel function
• Stay on stool softeners - don't stop until you're off narcotic pain medication
• Stay hydrated - aim for 8 glasses of water daily
• Avoid straining when using the toilet - this puts pressure on your incision
• Prunes and prune juice are natural laxatives

What You Can and Cannot Do

Permitted Activities

• Short walks (bent posture)
• Light personal hygiene (sponge bath)
• Sitting in a recliner or with support
• Using phone/tablet/reading
• Eating independently (with easy-to-prepare foods)

Still Restricted

• No lifting over 10 pounds - nothing heavier than a kettle
• No driving - you cannot safely react or wear a seatbelt comfortably
• No reaching overhead
• No bending at the waist - bend at the knees if you must pick something up
• No housework - vacuuming, laundry, cleaning all require too much movement
• No cooking - standing for prolonged periods and reaching are difficult
• No exercise beyond gentle walking

Follow-Up Appointment

You'll likely have a follow-up appointment during this first week:

• Your surgeon will check incision healing
• Drain output will be reviewed
• Your progress will be assessed
• Questions will be answered
• Bring your drain output log
• Write down questions beforehand

Emotional Wellbeing

It's normal to experience emotional ups and downs during recovery:

• Frustration at being dependent on others
• Impatience for swelling to resolve
• Moments of doubt - "was this worth it?"
• Fatigue affecting mood

These feelings are temporary. Focus on small improvements, be patient with your body, and remember that final results take many months to appear.

Looking Ahead

By week 2, many patients notice:

• Drains being removed (this makes a huge difference to comfort and mobility)
• Ability to stand slightly straighter
• Permission to shower
• Reduced pain allowing lighter pain medication
• Return to very light desk work (if working from home)